Individual
DR. CHARLES A KIRBY
Inactive
Individual
DR. CHARLES A KIRBY
Inactive
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD0000011473
TN
207W00000X
Ophthalmology Physician
Primary
MD00000011473
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3191743
—
TN
Enumeration date
08/10/2005
Last updated
05/14/2019
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